ASSOCIATED SURGEONS AND PHYSICIANS, LLC (NPI# 1891029237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891029237 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED SURGEONS AND PHYSICIANS, LLC |
| Other Organization Name | WARSAW WOMEN'S CENTER |
| Practice Address |
1275 Provident Dr Warsaw IN 46580-3265 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 5742694026 |
| Practice Fax Number | 5742697444 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696898 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MS. TRISH WARREN (CFO) |
| Authorized Official Telephone | 2604324400 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSOCIATED SURGEONS AND PHYSICIANS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | IN | Nursing Service Providers | |
| Y | 207V00000X | Obstetrics & Gynecology | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Warsaw Women's Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 1649720301 | Associated Surgeons and Physicians, LLC | Podiatrist | 1316 E 7th St, Suite E, Auburn, IN 46706-2538 | 2016-10-06 |
| 1447634449 | Associated Surgeons and Physicians, LLC | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2015-07-20 |
| 1992097026 | Associated Surgeons and Physicians, LLC | Nurse Practitioner | 10002 Auburn Park Dr, Fort Wayne, IN 46825-2389 | 2011-05-09 |
| 1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
| 1083868269 | Associated Surgeons and Physicians, LLC | Pediatrics | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-14 |
| 1841444114 | Associated Surgeons and Physicians, LLC | Surgery | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2008-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ASSOCIATED SURGEONS AND PHYSICIANS, LLC | 2518 E Dupont Rd, Fort Wayne, IN 46825 |
| Street Address |
1275 PROVIDENT DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648721 | Donald A Durecki | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-06-15 |
| 1467958975 | Kellie R. Parker | Nurse Practitioner | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2018-04-03 |
| 1215108634 | Jody Freyre | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2008-03-13 |
| 1245247808 | Sarah B Bailey | Nurse Practitioner | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-08-03 |
| 1033146220 | Thomas E Howard | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-06-26 |
| 1730115767 | Timothy F Cook | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255511598 | Thaddeus Naprawa | Obstetrics & Gynecology | 36 Mount View Ave, Box 252, Warsaw, NY 14569-9555 | 2007-11-04 |
| 1528140886 | Lee A Harris Jr. | Obstetrics & Gynecology | 630 S Buffalo St, Suite 1, Warsaw, IN 46580-4372 | 2006-10-19 |
| 1982648721 | Donald A Durecki | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2006-06-15 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| 1487047338 | Wyoming County | Obstetrics & Gynecology | 400 N Main St, Warsaw, NY 14569-1025 | 2015-03-16 |
| 1962814434 | Elizabeth Kermis | Obstetrics & Gynecology | 408 N Main St, Warsaw, NY 14569-1015 | 2014-06-02 |
| 1891098141 | Wyoming Women's Health Care | Obstetrics & Gynecology | 408 N Main St, Warsaw, NY 14569-1015 | 2010-12-08 |
| 1699930206 | Wyoming Ob-gyn LLC | Obstetrics & Gynecology | 121 S Main St, Warsaw, NY 14569 | 2008-07-23 |
| 1215108634 | Jody Freyre | Obstetrics & Gynecology | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2008-03-13 |
| 1295886166 | Roland C. Draughn | Obstetrics & Gynecology | 603 E College St, Warsaw, NC 28398-2104 | 2007-01-16 |
| Find all providers in WARSAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.